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wwwe kt?mv lleksar Ur W4724711 • BlMtnp, fir M73WID s Cnspa, wr eee-135-01116 <br />air oaa, r? g&ft V A6B-6A8-7175 • Rapid C ft SD 666412-1225 • dMlie SWft, TX 111111114M2211 <br />Workorder Receipt Checklist ,Cotter Corporation C10071062 <br />Login completed by: Corinne Wagner Date Received: 7/29/2010 <br />Reviewed by: 8L20001tedwards Received by: ha <br />Reviewed Date: 8/3/2010 Carrier name: FedEx <br />Shipping container/cooler in good condition? Yes 0 No E] Not Present 11 <br />Custody seals intact on shipping container/cooler? Yes El No El Not Present El <br />Custody seals intact on sample bottles? Yes No Not Present 0 <br />Chain of custody present? Yes No <br />Chain of custody signed when relinquished and received? Yes 0 No <br />Chain of custody agrees with sample labels? Yes 0 No <br />Samples in proper container/bottle? Yes No <br />Sample containers intact? Yes No <br />Sufficient sample volume for indicated test? Yes 0 No <br />All samples received within holding time? Yes No C] <br />Container/remp Blank temperature 136C On Ice <br />Water- VOA vials have zero headspace? Yes No No VOA vials submitted Q <br />Water - pH acceptable upon receipt? Yes Q No Not Applicable ? <br />Contact and Corrective Action Comments: <br />None <br />Page 25 of 29